18 results
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Base and Blood Gas ... Acidosis - non anion ... gap metabolic acidosis ... - anion gap metabolic ... nickmmark #acidbase #workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Anion gap? ... : Anion Gap (AG ... Gap Metabolic acidosis ... Gap Metabolic acidosis ... Classically” noted with pulmonary
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap ... Framework and Workup ... VBG - Calculate Anion ... NonAnionGap #Acidosis #Metabolic ... Differential #Diagnosis #Workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Start with the Anion ... Diagnosis: • Anion ... Gap Metabolic Acidosis ... Gap Metabolic Acidosis ... Disorders #Evaluation #workup
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
3) Labs show anion-gap ... metabolic acidosis ... , Diaphoresis, Pulmonary ... , Shock Labs: Anion-Gap ... Metabolic Acidosis
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... other processes Workup ... COP DDX: • CAP ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Labs showed high anion ... gap metabolic acidosis ... PhysicalExam #nephrology #clinical
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... primary problem – metabolic ... or concomitant metabolic ... need to do more work ... = ANION GAP -
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 • Acute Infections: Lung abscess,
Diagnosis and Workup ... abscess, Necrotizing Pneumonia ... Autoimmunity: RA, GPA ... Algorithm #lesion #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(CAP) - Diagnosis ... aeruginosa Clinical ... in adults with clinically ... #CAP #Diagnosis ... Management #treatment #Pulmonary